Epidural anesthesia operation and nursing

The puncture position is roughly the same as for spinal anesthesia. Therefore, the nurse also has to assist in setting up a similar position. The puncture site is determined by the anesthesia segment. The puncture needle is different from the spinal anesthesia needle. The needle is thick and the front end is spoon-shaped, which is due to the need for puncture and tube delivery. Routine disinfection, drape, puncture through the skin, subcutaneous, supraspinous ligament, interspinous ligament and ligamentum flavum, when the ligamentum flavum is pierced, there is a sense of breakthrough, the resistance disappears, no cerebrospinal fluid is sucked back, the negative pressure is tested, and the catheter is sent to the catheter , Put the surgical position after fixing, give the test volume first, observe for 5 to 10 minutes, and there is no spinal anesthesia. Nurses should cooperate during anesthesia, prepare anesthesia bags, position the patient, observe the patient after injecting anesthesia, and be especially alert to the occurrence of a serious complication of total spinal anesthesia. Anesthesia can also cause nerve damage, mostly by puncture. In addition, cervical and thoracic anesthesia may cause complications such as respiratory depression and blood pressure drop.

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